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<DIV><B>From:</B> <A title=ruglucia@PAHO.ORG
href="mailto:ruglucia@PAHO.ORG">Ruggiero, Mrs. Ana Lucia (WDC)</A> </DIV>
<DIV style="FONT: 10pt arial">
<DIV> <A title=EQUIDAD@LISTSERV.PAHO.ORG
href="mailto:EQUIDAD@LISTSERV.PAHO.ORG">EQUIDAD@LISTSERV.PAHO.ORG</A>
</DIV></DIV>
<DIV><FONT face=Arial size=2></FONT><FONT face=Arial size=2></FONT><FONT
face=Arial size=2></FONT><FONT face=Arial size=2></FONT><BR></DIV>
<DIV class=Section1>
<P class=tchd1 style="MARGIN-LEFT: 0.5in"><B><FONT face=Arial color=maroon
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: maroon; FONT-FAMILY: Arial">The
world health report 2006 - working together for
health<o:p></o:p></SPAN></FONT></B></P>
<P class=tchd1 style="MARGIN-LEFT: 0.5in"><B><FONT face=Arial color=#333399
size=1><SPAN
style="FONT-WEIGHT: normal; FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">Website:
<A href="http://www.who.int/whr/2006/en/index.html"><FONT color=#333399><SPAN
style="COLOR: #333399">http://www.who.int/whr/2006/en/index.html</SPAN></FONT></A>
<BR><BR><A href="http://www.who.int/entity/whr/2006/whr06_en.pdf"><FONT
color=#333399><SPAN style="COLOR: #333399">Full report [pdf
6.83Mb]</SPAN></FONT></A><o:p></o:p></SPAN></FONT></B></P>
<P class=tchd1 style="MARGIN-LEFT: 0.5in"><B><FONT face=Arial color=#333399
size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial"> World Health
Organization – April 2006<o:p></o:p></SPAN></FONT></B></P>
<P class=shd1 style="MARGIN-LEFT: 0.5in"><B><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">Report
by chapter<o:p></o:p></SPAN></FONT></B></P><![if !supportLists]><![endif]>
<P class=MsoNormal
style="MARGIN-LEFT: 0.75in; TEXT-INDENT: -0.25in; mso-list: l0 level1 lfo1"><![if !supportLists]><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><SPAN
style="mso-list: Ignore"><FONT face="Times New Roman" size=1><SPAN
style="FONT: 7pt 'Times New Roman'">
</SPAN></FONT></SPAN></SPAN></FONT><![endif]><FONT face=Arial color=#333399
size=2><SPAN style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">-
<B><SPAN style="FONT-WEIGHT: bold"><A
href="http://www.who.int/entity/whr/2006/chapter1/en/index.html"><FONT
color=#333399><SPAN style="COLOR: #333399">Chapter 1: Health workers: a global
profile</SPAN></FONT></A> </SPAN></B></SPAN></FONT><FONT face=Arial
color=#333399 size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">Health workers are
people whose job it is to protect and improve the health of their communities.
Together these health workers, in all their diversity, make up the global health
workforce. This chapter gives an overview of what is known about them. It
describes the size and distribution of the workforce, and some of its
characteristics, including how much it costs. It shows that there is a
substantial shortage of health workers to meet health needs, but that shortages
are not universal, even across low income countries. The chapter then considers
how much it would cost to scale up training to meet this shortfall and pay
health workers subsequently</SPAN></FONT>.<![if !supportLists]><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><SPAN
style="mso-list: Ignore">-<FONT face="Times New Roman" size=1><SPAN
style="FONT: 7pt 'Times New Roman'">
</SPAN></FONT></SPAN></SPAN></FONT><![endif]><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><BR><B><SPAN
style="FONT-WEIGHT: bold">- <A
href="http://www.who.int/entity/whr/2006/chapter2/en/index.html"><FONT
color=#333399><SPAN style="COLOR: #333399">Chapter 2: Responding to urgent
health needs</SPAN></FONT></A> </SPAN></B></SPAN></FONT><FONT face=Arial
color=#333399 size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">This chapter
identifies some of the most important performance challenges facing health
systems and the global health workforce today, examines the ways in which the
health workforce is meeting them, and suggests how these responses can be
improved. These challenges are, first, to scale up interventions to attain the
health-related MDGs; second, to shift successfully to community-based and
patient-centred paradigms of care for the treatment of chronic diseases; third,
to tackle the problems posed by disasters and outbreaks; and fourth, to preserve
health services in conflict and post-conflict
states.<o:p></o:p></SPAN></FONT></P><![if !supportLists]>
<P class=MsoNormal
style="MARGIN-LEFT: 0.75in; TEXT-INDENT: -0.25in; mso-list: l0 level1 lfo1"><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><SPAN
style="mso-list: Ignore"><FONT face="Times New Roman" size=1><SPAN
style="FONT: 7pt 'Times New Roman'">
</SPAN></FONT></SPAN></SPAN></FONT><![endif]><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><BR><B><SPAN
style="FONT-WEIGHT: bold">- <FONT color=#333399><SPAN
style="COLOR: #333399">Chapter 3: Preparing the health
workforce</SPAN></FONT></SPAN></B></SPAN></FONT><![if !supportLists]><![endif]><FONT
face=Arial color=#333399 size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial"> The previous
chapter provided an overview of the enormous challenges facing the health
workforce. Chapter 3 and the following two chapters deal with many of these
challenges, using the framework of strategies to train, sustain and retain the
workforce. This chapter is about preparation: getting it right at the beginning;
giving the right training to the right people to create an effective workforce
for the delivery of health care. It focuses on the entry of health workers into
the workforce and on the health training institutions – schools, universities
and training colleges – which provide them with the knowledge and competencies
for the jobs they will be required to do</SPAN></FONT>.<![if !supportLists]><![endif]><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><BR><SPAN
style="FONT-WEIGHT: bold">- <A
href="http://www.who.int/entity/whr/2006/chapter4/en/index.html"><FONT
color=#333399><SPAN style="COLOR: #333399">Chapter 4: Making the most of
existing health workers</SPAN></FONT></A> </SPAN></SPAN></FONT><FONT
face=Arial color=#333399 size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">A country’s health
workforce is made up of health workers who are at many different stages of their
working lives; they work in many different organizations and under changing
conditions and pressures. Whatever the circumstances, an effective workforce
strategy has to focus on three core challenges: improving recruitment, helping
the existing workforce to perform better, and slowing the rate at which workers
leave the health workforce. This chapter explores the second of these
challenges: optimizing the performance of current
workers.<o:p></o:p></SPAN></FONT></P><![if !supportLists]>
<P class=MsoNormal
style="MARGIN-LEFT: 0.75in; TEXT-INDENT: -0.25in; mso-list: l0 level1 lfo1"><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><SPAN
style="mso-list: Ignore">-<FONT face="Times New Roman" size=1><SPAN
style="FONT: 7pt 'Times New Roman'">
</SPAN></FONT></SPAN></SPAN></FONT><![endif]><B><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-WEIGHT: bold; FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">-
<A href="http://www.who.int/entity/whr/2006/chapter5/en/index.html"><FONT
color=#333399><SPAN style="COLOR: #333399">Chapter 5: Managing exits from the
workforce</SPAN></FONT></A> </SPAN></FONT></B><![if !supportLists]><![endif]><![if !supportLists]><FONT
face=Arial color=#333399 size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial"><SPAN
style="mso-list: Ignore"><FONT face="Times New Roman" size=1><SPAN
style="FONT: 7pt 'Times New Roman'"> </SPAN></FONT></SPAN></SPAN></FONT><![endif]><FONT face=Arial color=#333399
size=1><SPAN style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">Each
year, substantial numbers of health workers leave the health workforce, either
temporarily or permanently. These exits can provoke shortages if workers who
leave are not replaced, and such shortages compromise the delivery and quality
of health services (1, 2). Chapter 3 discussed the routes new workers take into
the workforce; this chapter examines the other end of the spectrum – the various
ways in which workers depart active service. It also suggests ways of managing
exits in times of worker shortage as well as in times of surplus, in order to
optimize the performance of the health workforce. Finally, it reviews and
analyses the factors that influence exits and proposes strategies for managing
them.<o:p></o:p></SPAN></FONT></P><![if !supportLists]>
<P class=MsoNormal
style="MARGIN-LEFT: 0.75in; TEXT-INDENT: -0.25in; mso-list: l0 level1 lfo1"><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><SPAN
style="mso-list: Ignore">-<FONT face="Times New Roman" size=1><SPAN
style="FONT: 7pt 'Times New Roman'">
</SPAN></FONT></SPAN></SPAN></FONT><![endif]><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><B><SPAN
style="FONT-WEIGHT: bold">- <A
href="http://www.who.int/entity/whr/2006/chapter6/en/index.html"><FONT
color=#333399><SPAN style="COLOR: #333399">Chapter 6: Formulating national
health workforce
strategies</SPAN></FONT></A> T</SPAN></B></SPAN></FONT><FONT face=Arial
color=#333399 size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">he ultimate goal of
health workforce strategies is a delivery system that can guarantee universal
access to health care and social protection to all citizens in every country.
There is no global blueprint that describes how to get there – each nation must
devise its own plan. Effective workforce strategies must be matched to a
country’s unique situation and based on a social
consensus.<o:p></o:p></SPAN></FONT></P><![if !supportLists]>
<P class=MsoNormal
style="MARGIN-LEFT: 0.75in; TEXT-INDENT: -0.25in; mso-list: l0 level1 lfo1"><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><SPAN
style="mso-list: Ignore">-<FONT face="Times New Roman" size=1><SPAN
style="FONT: 7pt 'Times New Roman'">
</SPAN></FONT></SPAN></SPAN></FONT><![endif]><FONT face=Arial color=#333399
size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><B><SPAN
style="FONT-WEIGHT: bold">- <A
href="http://www.who.int/entity/whr/2006/chapter7/en/index.html"><FONT
color=#333399><SPAN style="COLOR: #333399">Chapter 7: Working together, within
and across countries</SPAN></FONT></A> </SPAN></B></SPAN></FONT><FONT
face=Arial color=#333399 size=1><SPAN
style="FONT-SIZE: 9pt; COLOR: #333399; FONT-FAMILY: Arial">There are five broad
areas of concern that impel countries to look beyond their borders and work
together with others in order to address issues of human resources for health
more effectively<o:p></o:p></SPAN></FONT></P>
<P class=MsoNormal><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT><FONT
face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><o:p> </o:p></SPAN></FONT><SPAN
class=tchd31><B><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">Statistical annex
</SPAN></FONT></B></SPAN><FONT face=Arial color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial"><A
href="http://www.who.int/entity/whr/2006/annex/en/index.html"><FONT
color=#333399><SPAN style="COLOR: #333399">Annexes by
tables</SPAN></FONT></A><STRONG> </STRONG></SPAN></FONT></P>
<TABLE class=MsoNormalTable style="WIDTH: 423pt" cellSpacing=0 cellPadding=0
width=564 border=0>
<TBODY>
<TR style="HEIGHT: 97.65pt" height=130>
<TD
style="PADDING-RIGHT: 0in; PADDING-LEFT: 0in; PADDING-BOTTOM: 0in; WIDTH: 423pt; PADDING-TOP: 0in; HEIGHT: 97.65pt"
width=564 height=130><![if !supportLists]>
<P class=shd1 style="MARGIN-LEFT: 1in"><![endif]><FONT face=Arial
color=#333399 size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: #333399; FONT-FAMILY: Arial">- <A
href="http://www.who.int/entity/whr/2006/06_overview_en.pdf"><FONT
color=#333399><SPAN style="COLOR: #333399">Director General's Message
& Overview [pdf 591kb]</SPAN></FONT></A> <BR>- <A
href="http://www.who.int/entity/whr/2006/06_overview_ar.pdf"><FONT
color=#333399><SPAN style="COLOR: #333399">Overview in Arabic [pdf
2.32Mb]</SPAN></FONT></A> <BR>- <A
href="http://www.who.int/entity/whr/2006/06_overview_ch.pdf"><FONT
color=#333399><SPAN style="COLOR: #333399">Overview Chinese [pdf
3.05Mb]</SPAN></FONT></A> <BR>- <A
href="http://www.who.int/entity/whr/2006/06_overview_ru.pdf"><FONT
color=#333399><SPAN style="COLOR: #333399">Overview in Russian [pdf
2.38Mb]</SPAN></FONT></A></SPAN></FONT><FONT face=Verdana color=black
size=1><SPAN style="FONT-SIZE: 8.5pt; COLOR: black; FONT-FAMILY: Verdana">
<BR></SPAN></FONT><FONT face=Arial color=black size=2><SPAN
style="FONT-SIZE: 10pt; COLOR: black; FONT-FAMILY: Arial">- <B><SPAN
style="FONT-WEIGHT: bold"><A
href="http://www.who.int/whr/2006/whr06_overview_es.pdf"><FONT
color=#333399><SPAN style="COLOR: #333399">Overview in
Spanish</SPAN></FONT></A></SPAN></B></SPAN></FONT><![if !supportLists]><![endif]></P></TD></TR></TBODY></TABLE>
<P class=MsoNormal style="MARGIN-LEFT: 0.75in"><SPAN lang=EN-GB
style="FONT-SIZE: 7.5pt; COLOR: #333399; FONT-FAMILY: Arial"><SPAN
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